Sixteen patients underwent percutaneous placement of a VSD closure device for management of subarterial VSD with puncture through the chest wall and infundibulum of the RV. Fifteen were successful, and 1 patient required conversion to mini-thoracotomy for pericardial effusion and tamponade. Mean LOS was 3.5 days. No deaths, arrhythmias, valve inju
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December 22, 2016
Repair of Partial Anomalous Pulmonary Venous Drainage via Bilateral Anterolateral Mini-Thoracotomies
December 19, 2016
This video demonstrates the repair of partial anomalous pulmonary venous drainage of the left side in an 8-year-old boy.
November 23, 2016
A single institution experience during 22 years for early repair of complete AV canal defects (CAVCD) is reported. Repair was performed in 159 pts between 8 and 12 weeks of age. Operative mortality was 1.9% and later mortality was 7.7%. 13% required reoperation during long-term follow-up, primarily for left AV valve regurgitation. Left AV valve
Delayed Sternal Closure in Infant Heart Surgery—The Importance of Where and When: An Analysis of the STS Congenital Heart Surgery Database
October 31, 2016
This database study evaluated outcomes of delayed sternal closure for infants undergoing surgery on cardiopulmonary bypass. Delayed closure was associated with a 3-fold increase in infectious complications. Time to closure was associated with an increasing rate of infectious complications. Location of closure (OR, ICU) was not associated with adve
October 11, 2016
This video demonstrates a “split-graft technique” for heart transplant following a hybrid bridge to transplantation approach in a neonate with an underlying diagnosis of aortic atresia and hypoplastic arch.
Systemic-pulmonary shunt facilitates the growth of the pulmonary valve annulus in patients with tetralogy of Fallot
September 27, 2016
This retrospective study evaluated whether a systemic-PA shunt in infants with TOF facilitated enlargement of the pulmonary valve annulus (PVA). Placement of a shunt was the only factor associated with PVA growth. This knowledge may affect how repair is staged with an eye towards avoiding a transannular patch.
September 27, 2016
MRI assessment of cerebral blood flow and calculated cerebral oxygen delivery were compared between neonates with congenital heart disease and normal controls. Although cerebral blood flow was similar between the groups, oxygen delivery was over 30% lower in neonates with congenital heart disease, primarily because of arterial desaturation.
Rerouting of Surgical Anomalous IVC Drainage Status Post Total Anomalous Pulmonary Venous Connection Repair
August 16, 2016
This video shows the rerouting of the inferior vena cava into the right atrium and the closure of the residual atrial septal defect in a four-year-old child.
Accuracy of transesophageal echocardiography in the identification of postoperative intramural ventricular septal defects
August 2, 2016
This single institution study evaluated the accuracy of intraoperative TEE to identify residual intramural ventricular septal defects after repair of conotruncal defects. Intramural VSDs occurred in 10% of 337 pts; postoperative TTE identified all, intraoperative TEE identified 19. Of abnormalities requiring catheterization or reoperation, 6 of 7 w
July 4, 2016
This video demonstrates the use of a ring-reinforced ePTFE graft placed in the right ventricle through a limited ventriculotomy for the treatment of hypoplastic left heart syndrome.